• RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Layton, UT)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in ...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/19/25)
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  • Remote Licensed Social Worker - Behavioral…

    Molina Healthcare (Salt Lake City, UT)
    **Job Description** Licensed Social Worker Case Manager residing in the state of UT, will work in remote setting supporting our Medicaid SMI (Severe Mental ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
    Molina Healthcare (12/21/24)
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  • Care Manager RN - Weekends…

    Highmark Health (Salt Lake City, UT)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Telephonic Case Manager

    Sedgwick (Salt Lake City, UT)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a...on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in… more
    Sedgwick (01/22/25)
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  • Supplemental Care Manager - Remote

    Sharecare (Salt Lake City, UT)
    …effectively within a matrix organizational design. Qualifications: + Current multi-state compact Registered Nurse licensure in state of residence is required, ... everyone. To learn more, visit www.sharecare.com . Job Summary: The Supplemental Care Manager supports the Value Based Care Management program in an appropriate and… more
    Sharecare (01/16/25)
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  • Care Manager - Remote

    Sharecare (Salt Lake City, UT)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (01/17/25)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Salt Lake City, UT)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Salt Lake City, UT)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (11/25/24)
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